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Organization
INNOVATIVE DURABLE MEDICAL, LLC
Active
Organization
INNOVATIVE DURABLE MEDICAL, LLC
Active
Other names
Innovative Durable Medical, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DMITRY SANDLER DPM (OWNER)
(305) 864-1373
Entity
Organization
Contact information
Practice address
16400 NE 19TH AVE, NORTH MIAMI BEACH, FL 33162-4115
(305) 864-1373
(305) 868-3124
Mailing address
16400 NE 19TH AVE, NORTH MIAMI BEACH, FL 33162-4115
(305) 864-1373
(305) 868-3124
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
06/15/2020
Last updated
05/14/2021
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